Location Overview: Onsite position at Halifax Health | Brooks Rehabilitation - 303 N Clyde Morris Blvd, Daytona Beach, FL 32114

Position Summary: This position will report to the Director of Hospital Operations and work closely with the System Director for Quality & Patient Safety. The Quality Analyst will apply performance improvement and quality principles to outcome and process measures within the Inpatient Rehabilitation Facility (IRF) care setting. This position will also support interdisciplinary teams to achieve the Commission on Accreditation of Rehabilitation Facilities (CARF) accreditation/redesignation, provide onboarding education to the therapy department, and work collaboratively with IRF leaders to promote CARF survey readiness. This role will help create and collaborate action plans for process improvement for any required findings for hospital site surveys.

Job Responsibilities:

Quality Analyst responsibilities:

• Assist with communication to the interdisciplinary team either through discussion or in writing (e.g., formal queries) regarding missing, unclear, or conflicting health record documentation, and clarifies the information as warranted.
• Educates providers about identification of disease processes that reflect complexity and acuity to facilitate accurate application of code sets.
• Gathers and analyzes information pertinent to documentation findings and outcomes and uses this information to develop action plans for process improvements.
• Analyzes quality trends and collaboratively creates action plans for performance improvement surrounding acute care transfers/hospital readmissions with consideration at the hospital, unit and patient specific trend levels.
  • Patient safety indicators including falls, healthcare associated pressure injuries, infections
  • Functional improvement outcomes
  • Other quality measures as identified or regulated
• Identifies performance improvement opportunities and develops processes, procedures, and policy to support these initiatives.
• Evaluates workflow processes utilizing lean strategies, process mapping, and performance improvement principles to identify opportunities and efficiencies.
• Completes audits to ensure processes and policies are being followed

CARF Accreditation Responsibilities

• Perform gap analysis evaluation on a regular schedule to determine compliance with CARF standards.
• Demonstrate expert knowledge of regulatory compliance of IRF hospital CARF programs.
• Record and maintain documentation to validate compliance with program standards.
• Coordinate the interdisciplinary teamwork and organization of data collection by effectively collaborating with clinical leadership teams.
• Provides on-site support as the lead for surveys related to regulatory compliance

ORGANIZATIONAL/SERVICE MANAGEMENT

• Submits required reports in a timely and professional manner.
• Identifies variances to meeting departmental goals.
• Proactively initiates action plans and develops controls to track variances.
• Demonstrates knowledge of Inpatient Rehabilitation Hospital regulatory rules and regulation relating to the industry.

OPERATIONAL MANAGEMENT

• Develops and maintains effective working relationships with peers, clinical staff, superiors, and external customers.
• Communicate regularly with superiors, peers, and other staff.
• Always maintain a pleasant and professional demeanor, ensuring behavior is consistent with Brooks' values and policies.

Job Qualifications:

• Associates degree required
• Quality certification (CPHQ, Lean, Six Sigma) preferred; or ability to acquire
• Proven analytical and problem-solving abilities
• Proven documentation skills
• Ability to effectively prioritize and execute tasks in a high-pressure environment
• Good written, oral, and interpersonal communication skills
• Highly motivated and self-directed
• Keen attention to detail
• Team-oriented and skilled in working within a collaborative environment

Thriving in a culture that you can be proud of, you will also receive many employee benefits such as the following:

• Competitive Pay
• Comprehensive Benefits package
• Vacation/Paid Time Off
• Retirement Plan and Match
• Employee Discount Program
• Educational Assistance
• Professional Development Programs

Disclaimer: This job description describes the general nature and level of work only. It is not an exhaustive list of all responsibilities, duties, and skills. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.